Moutaz Kotrob DDS

NPI 1043406283 - Dentist - 1223G0001X

NPI Details
NPI 1043406283
Gender Male
Enumeration Date 09/21/2007
Last Updated 03/12/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
1133 EL CAMINO REAL STE 5
# B -304
SOUTH SAN FRANCISCO CA, 94080-3288, US
Phone (650) 244-9928
Fax (650) 244-9284
Business Location
1133 EL CAMINO REAL STE 5
# B -304
SOUTH SAN FRANCISCO CA, 94080-3288, US
Phone
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 55981
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According to our database, Dr. Moutaz Kotrob DDS NPI is 1043406283, taxonomy code is 1223G0001X and license number is 55981, license state is located at California. Moutaz Kotrob DDS physically located at 1133 El Camino Real Ste 5, South San Francisco CA, 94080-3288. NPI Number Moutaz Kotrob DDS has the Individual type.

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1043406283 NPI number is provided on an as is basis without warranty of any kind. 1043406283 is maintained by the National Plan & Provider Enumeration System. The contents of Moutaz Kotrob DDS are for informational purposes only.